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CVS PHARMACY #03399
NPI 1902900806
Pharmacy in Lakeland, FL

Active since September 12, 2006CLIA 10D2227410 · Waiver
6105 US HIGHWAY 98 N, LAKELAND, FL 33809(863) 858-4441(863) 859-2392 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy #03399 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY #03399 (NPI 1902900806) is a healthcare organization registered as a pharmacy in Lakeland, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Sue Colbert, Director, Managed Care, as its authorized official.

NPPES Registry Identity

NPI1902900806
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOLIDAY CVS LLC
Location Address6105 US HIGHWAY 98 NLakeland, FL 33809-6223
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(863) 858-4441
Fax(863) 859-2392
Organization SubpartNo
Authorized OfficialSue ColbertDirector, Managed Care · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateNovember 16, 2012
✔ NPI 1902900806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · 20251
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
6105 US HIGHWAY 98 N, Lakeland, FL 33809
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy #03399

Other Identifiers 4

Medicare NSC5140820152
Other1040675Other Id Number-commercial Number
Medicaid105850900FL
Medicare PINBC034FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2227410

Holiday CVS, LLC Dba Cvs/Pharmacy #3399 · Lakeland, FL
Active · expires Jun 10, 2027
CLIA Number10D2227410
Laboratory TypePharmacy
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorJennifer Scott
Laboratory Phone(863) 858-4441
Laboratory LocationHoliday CVS, LLC Dba Cvs/Pharmacy #33996105 Us Hwy 98 N, Lakeland, FL 33809
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
116 services114 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
105 services104 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy # 03399 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 03399

DMEPOS supplier · Lakeland, FLOperated by Holiday CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy # 03399 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20432495
Medicare Participant SinceJanuary 1, 2019
Supplier Location6105 Us Highway 98 NLakeland, FL 33809
Phone(863) 858-4441
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THU-HONG THI LE
Pharmacist
6105 US HIGHWAY 98 N
LAKELAND, FL 33809
Polk County (863) 858-4441
CYNTHIA DEOKARRAN PHARMD
Pharmacist
6105 US HIGHWAY 98 N
LAKELAND, FL 33809
Polk County (863) 858-4441
FREDRICK OBI RPH
Pharmacist
6105 US HIGHWAY 98 N
LAKELAND, FL 33809
Polk County (863) 858-4441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holiday CVS LLC's NPI number?

The NPI number for Holiday CVS LLC is 1902900806. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy #03399.

Where is Holiday CVS LLC located?

Holiday CVS LLC is located at 6105 Us Highway 98 N, Lakeland, FL 33809. The listed phone number is (863) 858-4441.

What is Holiday CVS LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Holiday CVS LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy # 03399 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Holiday CVS LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2227410) is associated with this NPI, valid through June 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Holiday CVS LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 35 other insurers list Holiday CVS LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holiday CVS LLC was last updated on November 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.